Which is Better: Silicone or Saline Implants?

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When considering breast augmentation, many women are unsure of the question: silicone or saline? Both implants have their pros and cons and the type of implant best for you depends on your priorities.

Both silicone and saline implants have silicone shells – the difference is what the shell is filled with. Silicone implants are filled with a silicone gel and saline implants are filled with saline liquid.

Saline implants are inserted into the chest empty and filled with sterile salt water once in place. The benefit to saline implants is that it is easy to spot if they develop a rupture – the implant begins to deflate. Another benefit to saline implants is that the size of the implant is adjustable during surgery by filling the implant with more or less saline. Saline implants tend to look more firm and rounded than silicone implants.

Many patients tend to prefer silicone implants because they look and feel more like a natural breast than saline implants. The shape of a silicone implant is more customizable and can give you more of a teardrop shape (which more closely resembles a natural breast) than a rounded, ball shape in a saline implant. In addition, silicone implants have lower instances of rippling of the overlying skin – giving you a natural look. Silicone implants are available to women over the age of 22.

Older types of implants were not as durable as implants today. Today’s silicone implants have been redesigned to be thicker and more durable, so even if a rupture does happen, the silicone does not leak into the surrounding tissue. There are also new imaging technologies that can detect leaks in a silicone implant today.

Saline vs. silicone is a decision between you and your plastic surgeon. Dr. Leif Rogers and Dr. Nima Naghshineh offer a wide variety of choices for their patients, including saline and silicone implants along with different approaches to scar placement. They will be able to discuss implant options with you and decide which is best for your procedure.

To learn more about getting a Breast Augmentation or to schedule your consultation with our plastic surgeons Dr. Leif Rogers and Dr. Nima Naghshineh, please fill out the form on this page or call our Beverly Hills or Pasadena office at (310) 860-8915.